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Late Pay to Work-Study Transfer Request Summer 2012

* Student Name:

* Student ID #:
DO NOT USE STUDENT SOCIAL SECURITY # FOR ID

Student HRMS Employee ID #:

* Department Name:

* Contact Person:

* Phone#: Fax #:
Campus Box:

Completion of this form does not guarantee that a transfer will occur. Transfer will be contingent upon availability of funds and student eligibility. You will be notified in writing whether or not a transfer is completed. Also please put the late pay dollar amount on the pay period the student was to be paid for and not when you submitted the hours as late pay.

Be sure you check your PeopleSoft statements and your student's payroll setup early to avoid incorrect charges in these pay periods.

Fiscal Year 2011-2012

Pay Period End Date:(Check all that apply)
05/26/12* Amount:
06/9/12* Amount:

06/23/12** No transfers will be made for this pay period

Fiscal Year 2012-2013

Pay Period End Date:(Check all that apply)
07/07/12 Amount:
07/21/12 Amount:
08/04/12 Amount:
08/18/12 Amount:

***Students who will graduate in the summer 2012 must stop working on 08/11/12

Reason why student was paid late:

*You must notify the Student Employment Office by 6/09/12 if you want any late pay to work-study transferred for any of the pay periods above to charge in the 2011-2012 Fiscal Year.

** Due to year-end close deadlines, these pay periods will not be transferred from late pay to work-study. Be sure you check your PeopleSoft statements and your student's payroll setup early to avoid incorrect charges for these pay periods.

* Charge to:
(Do not include speedtype)
Fund: Org:
Program/Project: